Disseminated sporotrichosis with immune reconstitution inflammatory syndrome in an HIV patient: Case report and review of the literature,Revista Iberoamericana de Micología

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Disseminated sporotrichosis with immune reconstitution inflammatory syndrome in an HIV patient: Case report and review of the literature
Revista Iberoamericana de Micología ( IF 1.9 ) Pub Date : 2020-11-07 , DOI: 10.1016/j.riam.2020.09.001
Vanice Rodrigues Poester ₁ , Lívia Silveira Munhoz ₁ , Rossana Patricia Basso ₂ , Beatriz Mendes Roca ₃ , Mariana Umpiérrez Vieira ₃ , Aryse Martins Melo ₄ , Gabriel Baracy Klafke ₃ , Karine Ortiz Sanchotene ₃ , Jussara Maria Silveira ₃ , David Stevens ₅ , Vanessa Brito de Souza Rabello ₆ , Rosely Maria Zancope-Oliveira ₆ , Melissa Orzechowski Xavier ₇

Affiliation

Programa de Pós Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), RS, Brazil.
Programa de Pós Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), RS, Brazil; FAMED-FURG, Brazil.
FAMED-FURG, Brazil.
Programa de Pós-Graduação em Parasitologia, Universidade Federal de Pelotas (UFPel), Brazil.
California Institute for Medical Research, San Jose, California, and Div. of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, CA, USA.
Laboratório de Micologia, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil.
Programa de Pós Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), RS, Brazil; FAMED-FURG, Brazil; Programa de Pós-Graduação em Parasitologia, Universidade Federal de Pelotas (UFPel), Brazil; California Institute for Medical Research, San Jose, California, and Div. of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, CA, USA.

Background

Sporotrichosis has been occurring as outbreaks in Brazil, reaching epidemic levels in some regions. Zoonotic transmission is the main route to acquire Sporothrix.

Case report

We describe a case of disseminated sporotrichosis caused by Sporothrix brasiliensis in an HIV/AIDS patient, with the presentation of immune reconstitution inflammatory syndrome (IRIS).

Conclusions

This case reinforces that sporotrichosis should always be suspected in patients with IRIS from endemic regions, even in patients without the typical cutaneous lesions of this mycosis.

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